Most Relevant Information
Provider Data
| NPI Number: | 1003455940 |
| Provider Name: | MARK BRANTON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/23/2019 |
| Last Updated: | 08/24/2024 |
Provider Practice Location
55 FRUIT ST
BOSTON
MA
021142696
Practice Location Phone/Fax
| Phone: | 6177267400 |
| Fax: |
Provider Mailing Location
24 STANDISH AVE
WHITMAN
MA
023821508
Provider Mailing Phone/Fax
| Phone: | 6095169496 |
| Fax: |